Please enable JavaScript.

Coggle requires JavaScript to display documents.

SEXUALLY TRANSMITTED DISEASE - Coggle Diagram

SEXUALLY TRANSMITTED DISEASE

GONORRHOEA

Sign and symptom: urethral / vaginal discharge(often purulent), dysuria, asymptomatic infection common in female

Diagnosis: urethral smear, urethral culture

Treatment: IM Ceftriaxone 500 mg stat Azithromycin 1g orally, Cefixime (ZINECEF) 400mg stat dose orally, IM Spectinomycin 2 gm stat or IM Cefotaxime 500mg stat, and follow up

GENITAL HERPES

```
Herpex simplex virus
```

Diagnosis: Direct IF for HSV Ag, Serology- paired sera taken 2 weeks apart, Tzank test for multinucleated giant cells

Treatment: Oral Acyclovir 200 mg 5x/daily for 5 day, Start within first 3 days of onset of lesion, Saline Sitz bath,Analgesics

SYPHILIS

Clinical presentation 1: Usually single, NON TENDER sharply, demarcated ulcer with indurated edges and clean base, Local lymph nodes enlarged

Diagnosis: Dark ground microscopy, VDRL/ TPHA

Treatment: IM Benzathine Penicilline 2.4 mega single dose, Procaine penicillin G, 600,000 units I.M. daily for 10 days, follow up

2.Incubation period: 6-8 weeks after chancre appear

Clinical presentation: Rashes macular/macular popular, usually symmetrical over palms and soles, Condylomata lata in moist areas, Generalised lymphadenopathy, non tender

Diagnosis/Treatment/contact tracing/follow up

Treatment: IM Benzathine Penicillin 2.4 mega units weekly for 3 weeks

NON SPECIFIC URETHRITIS

 Clinical presentation : in women, Asymptomatic, Mucopurulent vaginal discharge, Intermenstrual/post coital bleed, Lower abd pain, Acute and chronic symptoms and signs of PID, Signs of epididymo-orchitis and prostatitis, Dysuria, Ano-rectal discomfort + discharge, Arthralgia, Pharyngeal infections, conjunctivitis

Diagnosis: specimens for testing, gram stain, cell culture, DFAT, EIA NAAT

Treatment: Oral Doxycycline 100mg bd for 7 days orOral Azithromycin 1 gm stat, follow up